Supervalu Pharmacies Inc in Eden Prairie - Pharmacy
Supervalu Pharmacies Inc - NPI 1003921149
Supervalu Pharmacies Inc is a Pharmacy in Eden Prairie, Minnesota. Supervalu Pharmacies Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Supervalu Pharmacies Inc is 1003921149. The last update date is 2023-06-28.
Supervalu Pharmacies Inc's current location address is 11840 Valley View Rd, Eden Prairie, Minnesota. You can contact this provider via phone number 9528284588 and fax number 9529473470. The mailing address for Supervalu Pharmacies Inc is 11840 Valley View Rd, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supervalu Pharmacies Inc |
|---|---|
| Address | 11840 Valley View Rd, Eden Prairie, Minnesota |
| Phone Number | 9528284588 |
| Fax Number | 9529473470 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHARMAC |
|---|---|
| Authorized Official Name | Mccann Steve |
| Telephone Number | 9528284531 |
NPI Number Detail
| NPI Number | 1003921149 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2023-06-28 |
Provider Mailing Address Detail
| Address | 11840 Valley View Rd |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553443643 |
| Phone Number | 9528284588 |
| Fax Number | 9529473470 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2048203 | PK | ||
| 2424137 | NCPDP | ||
| 490610100 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Supervalu Pharmacies Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Supervalu Pharmacies Inc has been assigned the NPI (National Provider Identifier) 1003921149. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Supervalu Pharmacies Inc's facilities are geographically located?
The facilities of Supervalu Pharmacies Inc are physically situated at the following location: 11840 Valley View Rd, Eden Prairie, MN, 553443643.
What is the Supervalu Pharmacies Inc's area of specialization and corresponding taxonomy classification?
The Supervalu Pharmacies Inc's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1003921149 to Supervalu Pharmacies Inc?
The Centers for Medicare & Medicaid Services assigned the 1003921149 to Supervalu Pharmacies Inc on 2006-08-20.
When was the information pertaining to Supervalu Pharmacies Inc most recently updated or revised?
The details related to Supervalu Pharmacies Inc, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-28.